HomeMy Public PortalAbout5248-5250 VILLAGE CIRCLE DR_Electrical__ 76A663-CE80610/72 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADORE
• •
200 ftVlm City
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. i
OUTLETS NO. EACH FEE OWNER OR
FIRM NAME
RECEPTW $ $ MAIL
FIRST 20 25 10_ ADDRESS
LIGHT- TOTAL CIT CitV TEL. N
SWITCH _no_ OVER 20 1.70 .y® 10 11 PLAN CHECK
LIGHTING TOTAL FIRST 20 25 APPLICANT
FIXTURES
OVER 20 _10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. 2 F.A.U. 2 ADDRESS
SPACE HTR. AIR COND. CITY PtgfA= TEL. N0.
CLOTHES WASH.LDISHWASH.2_ LICENSE OR
REG. NUMBER Im"pV CLASS
FAN 11 OTHER is 1.00 1 HEHEBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY-
MOTORS,TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR }
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Cl.
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE C
.)
6
1 - 1O 300 OESCRIrED RESIDENTIAL PROPERTY.
s LLJ
PERMITEE
10 — 50. &DO SIGNATURE
50 — 100 10.00
DISTRICT N0. �.- - PROSSE BY
100 — 500 15.00 ). r rYl� CD
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE HW
-
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOTOVER600VOLTS OR200AMP 3 3.00 9 00 UNDERSLAB WORK
SERVICEOVER 600VOLTS OR200AMP 10.00 ROUGH CONDUIT
TEMPSERVICE, POLE, &APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00- FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 3 W
TOTAL FEE 63400
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
i t t4 a,. / It
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE